<!DOCTYPE html>
<html>
<meta charset="utf-8">
<head th:include="include :: header"></head>
<body class="gray-bg">
	<div class="wrapper wrapper-content ">
		<div class="row">
			<div class="col-sm-12">
				<div class="ibox float-e-margins">
					<div class="ibox-content">
						<form class="form-horizontal m-t" id="signupForm">
							<div class="form-group">	
								<label class="col-sm-3 control-label">用户id：</label>
								<div class="col-sm-8">
									<input id="userid" name="userid" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">提币地址：</label>
								<div class="col-sm-8">
									<input id="tibiaddress" name="tibiaddress" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">数量：</label>
								<div class="col-sm-8">
									<input id="num" name="num" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">手续费：</label>
								<div class="col-sm-8">
									<input id="shouxufei" name="shouxufei" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">提币状态：</label>
								<div class="col-sm-8">
									<input id="tibistatus" name="tibistatus" value="0" type="radio" checked>创建
									<!--<input  name="tibistatus" value="1" type="radio">到账-->
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">创建时间：</label>
								<div class="col-sm-8">
									<input id="createtime" placeholder="例如：2021-05-04 12:35:40" name="createtime" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">到账时间：</label>
								<div class="col-sm-8">
									<input id="daozhangtime" placeholder="例如：2021-05-04 12:35:40"
										   name="daozhangtime" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">备注：</label>
								<div class="col-sm-8">
									<input id="beizhu" name="beizhu" class="form-control" type="text">
								</div>
							</div>
																					<div class="form-group">
								<div class="col-sm-8 col-sm-offset-3">
									<button type="submit" class="btn btn-primary">提交</button>
								</div>
							</div>
						</form>
					</div>
				</div>
			</div>
	</div>
	</div>
	<div th:include="include::footer"></div>
	<script type="text/javascript" src="/js/appjs/system/tibitable/add.js">
	</script>
</body>
</html>
